2005 Idaho Code - 56-118 — REIMBURSEMENT RATES

                                  TITLE  56
                        PUBLIC ASSISTANCE AND WELFARE
                                  CHAPTER 1
                           PAYMENT FOR SKILLED AND
                            INTERMEDIATE SERVICES
    56-118.  REIMBURSEMENT RATES. (1) The department shall implement a
methodology for reviewing and determining reimbursement rates to private
businesses providing developmental disability agency services, mental health
services, service coordination and case management services, residential
habilitation agency services and affiliated residential habilitation
specialized family home services annually.
    (2)  In addition to any policy or federal statutory requirements, such
methodology shall incorporate, at a minimum, the following:
    (a)  The actual cost of providing quality services, including personnel
    and total operating expenses, directly related to providing such services
    which shall be provided by the private business entities;
    (b)  Changes in the expectations placed on private business providers in
    delivering services;
    (c)  Inflationary effects on the private business providers' ability to
    deliver the service since the last adjustment to the rate;
    (d)  Comparison of rates paid in neighboring states for comparable
    services;
    (e)  Comparison of any rates paid for comparable services in other public
    or private capacities.
    (3)  A report of the results of this analysis and review shall be sent to
the director, to the joint finance-appropriations committee and the health and
welfare committees of the senate and the house of representatives by November
30 of each year. The department shall include in the report cost saving
suggestions that private businesses shall provide. Any changes in
reimbursement rates shall include estimated costs of implementation based on
the current caseload forecasts and shall be submitted as part of the
department's budget request required in section 67-3502, Idaho Code.
Reimbursement rates included in appropriation bills enacted by the legislature
shall become effective not later than July 1 of each year.
    (4)  The results of this annual review and analysis and subsequent rules
do not guarantee a change in reimbursement rates, but shall be a fair and
equitable process for establishing and reviewing such rates.